Benign Conditions Of The Vulva And Vagina Flashcards

1
Q

Ambiguous genitalia can present with what 5 conditions?

A
Clitoromegaly
Clitoral agenesis
Bifid clitoris 
Midline fusion of the labiascrotal folds
Cloaca (no separation between vagina and bladder)
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2
Q

What is the clinical abnormal triad of female pseduohermaphroditism?

A

Clitoromegaly, hypospadiac urethra meatus, and a malpositioned vaginal orifice

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3
Q

What is labia agglutination?

A

Labial majora are stuck together so treat with estrogen

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4
Q

What is a fox-fordyce disease?

A

Raised, yellow itchy cyst in the axilla and labia majora and minor from keratin plugged inflammation

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5
Q

What is the most common genital cyst and what is going on with it?

A

Inclusion cyst that is below the epidermis because the hair follicle has been obstructed

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6
Q

What is characteristic of vulvar varicosities?

A

Blue color

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7
Q

What are lentigo and nevi?

A

Freckles and moles

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8
Q

How do we characterize a urethral caruncle?

A

Small fleshy red outgrowth at the distal edge of urethra

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9
Q

How do we characterize vulvar vestibulitis and what two clinical symptoms does it come with?

A

Minor vestibular glands become infected

Severe introital sex pain or vulvar pain

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10
Q

How do we characterize sebaceous cysts and what is an indie fitting feature?

A

Inflammatory blockage of sebaceous glands.

Cheesy sebaceous material on inner surface of labias.

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11
Q

What is the most common benign solid tumor of the vulva?

A

Fibroma

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12
Q

What are the 5 other tumors of of the vulva besides a fibroma?

A

Lipoma, hidradenoma, syringoma, neurofibroma, and angioma

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13
Q

What is a hidradenoma and what is a syringoma?

A

Sweat gland lesion and eccrine gland tumor

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14
Q

What are the three traumatic lesions of the vulva?

A

Hematoma, circumcision, and obstetric trauma

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15
Q

What is the cause of atrophic vaginitis and how do we treat it?

A

Loss of estrogen.

Topical estrogen or may consider oral estrogen

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16
Q

Cause of lichen simplex chronicus, major symptom, biopsy shows what, and what is treatment?

A

Itching/scratching
Itching
Tons of keratin because its a thickening
Steroid ointments

17
Q

How do we treat lichen sclerosis?

A

Glucocorticoid.

18
Q

Untreated lichen sclerosis turns into what?

A

Squamous cell cancer

19
Q

How does lichen planus present?

A

Purple polygonal papules

20
Q

What is the syndrome lichen planus is involved in and what is it?

A

Vulvar, vaginal, and gingival syndrome.

Lichen planus is vulva, vagina and mouth

21
Q

How do we treat lichen planus?

A

Topical and systemic steroids

22
Q

Two types of vaginal septum?

A

Transverse, upper and middle third, and midline

23
Q

What is the most extreme vaginal anomaly and what syndrome is it part of and why?

A

Agenesis
Part of the RKHS, which is mullerian agensis, so no uterus as well. You do have distal vagina because of urogenital sinus

24
Q

What is vaginal adenosis?

A

Columnar epi persists where Squamous should be

25
What is the most common vulvovaginal tumor?
Bartholin cyst
26
Two ways we treat bartholin gland abscess?
Word catheterization and marsupialization
27
What is the most common cause of vaginal trauma?
Sexual assault
28
What is the most common malignant vulvar tumor and what is the most common symptom?
SCC. | Chronic itching
29
What pre lesion is linked to vulvar cancer and what are the two types?
VIN 3 which is CIS Vin usually, which is HPV 16 associated Differentiated type, that is not HP, but dermatology associated like lichen sclerosis
30
2 clinical features of VIN 3?
Itchy is most common symptom | Warty appearance